Abstract:
:The aim of this study was to further explore the properties of axis IV in the Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV). In a naturalistic cross-sectional design, a group (n = 163) of young (18-25 years old) Swedish psychiatric outpatients was assessed according to DSM-IV. Psychosocial and environmental problems/axis IV were evaluated through structured interviewing by a social worker and by self-assessment on a questionnaire. Reliability between professional assessment and self-assessment of axis IV was examined. Concurrent validity of axis IV was also examined. Reliability between professional and self-assessed axis IV was fair to almost perfect, 0.31-0.83, according to prevalence and bias-adjusted kappa. Categories of psychosocial stress and environmental problems were related to the presence of axis I disorders, co-morbidity, personality disorders and decreasing Global Assessment of Functioning (GAF) values. The revised axis IV according to DSM-IV seems to have concurrent validity, but is still hampered by limited reliability.
journal_name
J Psychiatr Ment Health Nursjournal_title
Journal of psychiatric and mental health nursingauthors
Ramirez A,Ekselius L,Ramklint Mdoi
10.1111/jpm.12009subject
Has Abstractpub_date
2013-11-01 00:00:00pages
768-75issue
9eissn
1351-0126issn
1365-2850journal_volume
20pub_type
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journal_title:Journal of psychiatric and mental health nursing
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